Provider Demographics
NPI:1457013682
Name:DESERT HILLS DENTAL
Entity Type:Organization
Organization Name:DESERT HILLS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:435-635-4444
Mailing Address - Street 1:144 W BRIGHAM RD STE 15
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7472
Mailing Address - Country:US
Mailing Address - Phone:435-635-4444
Mailing Address - Fax:435-355-3698
Practice Address - Street 1:144 W BRIGHAM RD STE 15
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7472
Practice Address - Country:US
Practice Address - Phone:435-635-4444
Practice Address - Fax:435-355-3698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental